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Roger Allen Marks
Professional Counselor in Flora, Illinois
NPI 1891376620

Roger Allen Marks is a Professional Counselor based in Flora, IL and is specialized in Professional. Roger Allen Marks practices in Flora, IL. The NPI Number for Roger Allen Marks is 1891376620 and holds a License No. 180-003309 (Illinois).

The current practice location address for Roger Allen Marks is 911 Stacey Burk Dr, Flora, IL and can be reached out via phone at 618-662-6621.

Location: 911 Stacey Burk Dr, Flora, IL, 62839-3241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891376620
Provider Name
Roger Allen Marks
Credential
Provider Entity Type
Individual
Gender
Male
Address
911 Stacey Burk Dr, Flora, IL, 62839-3241
Phone Number
618-662-6621
Fax Number
Provider Enumeration Date
04/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
911 Stacey Burk Dr
City
Flora
State
Illinois
Zip
62839-3241
Phone Number
618-662-6621
Fax Number
person
Provider Business Mailing Address Details
Address
911 Stacey Burk Dr
City
Flora
State
Illinois
Zip
62839-3241
Phone Number
618-662-6621
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
180-003309 (Illinois)
Definition
Definition to come...
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